Peniel Homecare Agency

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PENIEL HOMECARE AGENCY

Doing business as

Peniel Homecare Agency

Practice address

101 Burbank Rd
Ellington, CT 06029-2806

Phone

(860) 894-0975

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jane Asumadu

Title

Owner

Phone

(608) 894-0975

Specialties & licenses 3

Addresses

Other names 1

• Peniel Homecare Agency Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1033931209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BURBANK RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292806",
            "telephone_number": "860-402-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURBANK RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060292806",
            "telephone_number": "860-894-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENIEL HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "ASUMADU",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-894-0975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peniel Homecare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Flordeliza Palazzolo, MD
• Matthew Lanz Palozej, OD
• Robert R Palozej, O.D.
• Gianna Christa Paseka
• Lanford Peck, M.D.
• Julia Christine Pepitone, CCC-SLP
• Lindsey Perrotti, DPT
• Lauren Jill Powers, DMD
• Rosemary Bonner Ragle, MS, ATC
• Brian Reid

• Community Based Hospice Care Agency in Ellington, CT
• Providers in Ellington, CT by specialty
• Community Based Hospice Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.